Milagros J. Godreau
Contact
Rockville, MD 20850
ad2e40@r.postjobfree.com
Objective
Obtain a position as a Customer Service Representative or Virtual Assistant where I can contribute my education and skills; In addition to bringing my over 25 years of experience and expertise to the customer service field by analyzing and solving problems or concerns in a timely manner. In addition, I can adapt to any situation and work under pressure when required and finish a project presented to me in the time frame established.
Education
Everest Institute
02/2012-05/13
Certificate: Medical
Administrative Assistant
Miami, FL.
American Intercontinental
University
05/2003- 11/ 2004
Associate’s (AABA) – Business
Administration
Hofmann States, IL
MBTI Business Training
Institute 05/1991- 05/1992
Diploma: Travel and Tourism
San Juan, P.R.
MBTI Business Training
Institute 01/1997- 01/1998
Diploma: Data Entry Specialist
San Juan, P.R.
Key Skills
Experience
Patient Representative III / Care coordinator
• Mount Sinai
July 2023 – Nov2023
Supervisor: Marlene Rodriguez 786-***-****
o Scheduling patient appointments and making reminder calls to patients.
o Requesting referrals and authorizations
o Also maintaining charts and verifying insurance coverage o Answering calls from patients and gathering information to send messages and routed to the proper department.
Bilingual Member Service Guide for Patients
Health insurance and Patient care
• Devoted Health
August 2021 – October 2022
Supervisor Jose Gonzalez 818 – 877 - 6800
o Engaging with members, utilizing technology and data to better understand their needs.
o Developing a solid understanding of our benefit
offerings to investigate and resolve member
questions.
o Breaking down complex healthcare information so it is clear to our members.
o Supporting members in finding a physician or specialist that's aligned with their values and preferences.
o Documenting accurate information about member needs in our system
o Listening to members and identifying instances when higher o Keyboarding
speed 60 wpm
o Knowledgeable of
Microsoft Office
o Medical
Terminology
o Medical Insurance
o Medical Biling
o Speak write and
read Spanish at an
Advanced Level
o Insurance Agent
T240 – Health
License#
W714912
levels of support through our clinical partners is needed. o Assisting members in optimizing their benefit usage Call Center Representative – Bilingual / Remote • K - Force March 2021 – May 2021 As per contract
o Handling inbound and outbound calls from customers that had concerns or questions about their unemployment benefits. o Updating information (demographics, job hunting) maintaining claimant information up to date, and making changes if necessary.
o Reviewing claims
o Assisting customers applying for unemployment
o Escalate calls or issues to the appropriate designated staff for resolution, as needed.
o Track and document all inquiries using the applicable systems.
o Facilitate translation services for non-English speaking callers according to outlined procedures.
Patient Care Representative II • Mount Sinai
January 2019 – May 2020
Mirtha Gonzalez 305-***-****
o Visit different offices to serve the needs of the organization
(Cardiology, Urology, Internal Medicine, etc.)
o Serves as check-out for patient office visits.
o Answers telephone calls and provides routine information. o Schedules patient follow-up MD appointments using IDX and CROWN (Electronic Health Records. Schedules and prepares orders for a patient blood test, chemotherapy, and admissions. o Processes medication refill requests
o Scans patient documentation into CROWN for archiving. o Reviews patient health history forms for completeness o Verifies, reviews, and updates the accuracy of insurance, demographic, and guarantor information provided by patients.
o Maintains and requests needed information such as referrals/insurance claims, and EOBs.
o Recognizes and pursues an appropriate course of action in patient interactions to collect payments at the time of service and/or reviews past balances to collect payments. Prepares TOS logs for payments received.
● Patient Coordinator / Care coordinator/ Administrative
● Clinicare Medical Center
Supervisor: Willie Fundora 305-***-**** Miami
Beach, FL
Review provider schedules and individual patient charts and assist the care team.
in coordinating care for visits and for future healthcare needs.
● Handle non-appointment-related calls from patients. Resolve the reason for the
call or route to the appropriate party.
● Provide an effective communication link between patient and medical staff,
including relaying messages from providers, gathering information from patients
for providers, etc.
● Support patients and providers in the medication refill process.
● Ensure that patients receive the care they need, and understand their medical condition.
● Coordinate appointments with specialists such as dentists, audiologists, ophthalmologists, and other specialists.
● Use registry and other information to inform care team members of preventive.
care required for each patient seen each day.
● Ensure that all patients are tracked, and data entered into systems for follow-up.
and reporting.
● Regularly review registry information for an assigned panel for care needed to proactively coordinate the health care needs of patients. Arrange transportation, and help my patients fill out paperwork References
Available upon request.